British NHS Euthanizes 130,000 Patients Per Year

Comment: Euthanasia in England – Far-left advocates of socialized medicine are still running cover for Britains National Health Service after top physician Patrick Pullicino admitted that the U.K.s government-run medical system “euthanizes” as many as 130,000 patients every year. The respected neurologist and university professor told the Royal Society of Medicine in London that an end-of-life care method known as the Liverpool Care Pathway (LCP) used in British hospitals had actually become an “assisted death pathway rather than a care pathway. Shortly after the news exploded into the global headlines, the opening ceremony for the Olympics in London was dedicated almost entirely to what critics called pro-NHS propaganda. It featured sick children being saved from demon-like characters by “heroic” NHS workers in an esoteric spectacle that attracted global criticism from across the political spectrum. Analysts say Obamacare will mean a similar fate for American medicine: rationing, euthanasia, long lines, and death.   

“Professor Patrick Pullicino said doctors had turned the use of a controversial ‘death pathway’ into the equivalent of euthanasia of the elderly.”

“He claimed there was often a lack of clear evidence for initiating the Liverpool Care Pathway…”

“It is designed to come into force when doctors believe it is impossible for a patient to recover and death is imminent.”

“There are around 450,000 deaths in Britain each year of people who are in hospital or under NHS care. Around 29 per cent – 130,000 – are of patients who were on the LCP…”

“Professor Pullicino revealed he had personally intervened to take a patient off the LCP who went on to be successfully treated.”

“‘Very likely many elderly patients who could live substantially longer are being killed by the LCP. ‘”

“The LCP was developed in the North West during the 1990s and recommended to hospitals by the National Institute for Health and Clinical Excellence in 2004.”

“…Experts…, warned of ‘backdoor euthanasia’ and the risk that economic factors were being brought into the treatment of vulnerable patients.”

Top doctor’s chilling claim: The NHS kills off 130,000 elderly patients every year

June 19, 2012

By STEVE DOUGHTY FOR THE DAILY MAIL

www.dailymail.co.uk/news/article-2161869/Top-doctors-chilling-claim-The-NHS-kills-130-000-elderly-patients-year.html

*****

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Top Tweets – Top News

EACH ONE A HAMMER BLOW FOR LIBERTY
Follow us on Twitter
‘All the Bad News About Obamacare Every Day’

Hawaii exchange prepares to shut down after failing to attract enough enrollees to be self-sufficient
http://insurancenewsnet.com/oarticle/2015/05/10/insurance-exchange-sets-deadlines-in-preparation-of-ending-services.html

Senate subcommittee to probe if #ACA exchanges adequately verify subsidy eligibility; HHS ignored earlier questions
http://www.portman.senate.gov/public/index.cfm/files/serve?File_id=5894533c-00a7-48cf-b157-5b7dad4a11ba

Ruling for King plaintiffs would free 11.1 million from ave $1,200 individual mandate
http://americanactionforum.org/research/taking-stock-the-potential-impact-of-king-v.-burwell

Poll: new state exchanges less supported when voters know states pay freight and employer mandate imposed
http://thefga.org/press/for-immediate-release-34-state-poll-confirms-voters-dont-want-state-run-obamacare-exchanges/

Administration admits problems w/ inaccurate doctor directories and non-transparency for out-of-pocket costs
http://www.nytimes.com/2015/05/09/us/politics/health-care-law-consumer-complaints-to-get-addressed-by-white-house.html?partner=rss&emc=rss&_r=1

Michigan Medicaid expansion costs poised to overwhelm savings sooner than expected (r u listening, Virginia?)
http://www.heraldextra.com/news/opinion/local-guest-opinions/your-elected-leaders-obamacare-is-not-a-solution-for-utah/article_e090abff-b420-5076-9bb1-2c6ee7ea2cd0.html

Displacing private insurance with Medicaid hurts Kentucky hospitals (told you so).
http://www.usatoday.com/story/news/nation/2015/05/08/kentucky-hospitals-say-aca-has-hurt-them/26998939/?utm_campaign=KHN%3A+First+Edition&utm_source=hs_email&utm_medium=email&utm_content=17591572&_hsenc=p2ANqtz-9Cm_m11IIEy0maSyhdccyrRn64NW1uBWTPCBgzEi4pu9NOq_x4uWH9lD5buPvf5qSrdufWtmGN7EO9wpU0WgdVYvsomg&_hsmi=17591572

Top VA procurement official: VA breaks fed law overpaying for goods, not having competitive bidding – wastes $6B/yr
http://www.foxnews.com/politics/2015/05/14/top-va-official-says-agency-wasting-6b-per-year-with-improper-purchases-report/

Some choosing unsubsidized #ACA-compliant off-exchange insurance to avoid narrow networks
http://www.modernhealthcare.com/article/20150508/NEWS/150509924

Small businesses deliberately quit growing as #Obamacare ’50-to-100’ regulation looms
http://www.tulsaworld.com/opinion/readersforum/lt-gov-todd-lamb-protect-small-business-from-obamacare/article_fc3d214c-cd80-51b9-b9eb-dfc6f888165c.html

$!B-dollar-a-year #ACA-funded CMMI innovation programs :very little to show in cost savings or quality improvements
http://jama.jamanetwork.com/article.aspx?articleid=2281686

Removing #ACA’s age rating, benefit mandates, actuarial value req could lower health ins costs for young adults 44%
http://dailysignal.com/2015/05/11/how-lawmakers-could-reduce-health-insurance-costs-for-young-adults-by-44/?utm_source=heritagefoundation&utm_medium=email&utm_campaign=morningbell&mkt_tok=3RkMMJWWfF9wsRojvKzOZKXonjHpfsX54u4oWKawlMI%2F0ER3fOvrPUfGjI4JTcZmI%2BSLDwEYGJlv6SgFQrLBMa1ozrgOWxU%3D

Anatomy of a Disaster – Multi-part series at ObamacareTruthSquad.com:
Part 1 – Special Interests
Part 2 – Deceit
Part 3 – Botched Rollout
Part 4 – Other Perversities

Hospital bill: $38,000. Direct pay bill for same procedure: $3,500.  Which is better?
http://www.azcentral.com/story/money/business/consumer/2015/05/14/arizona-woman-outpatient-surgery-eye-popping-bill/27286193/

If you can’t see how #Obamacare impinges on your freedom – or you don’t care – you are very far gone.

 

 

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Anatomy of a Disaster (Part 4 – Other Perversities)

One cannot help but be struck by the monstrous incongruities between the hopes Obamacare engendered and the grubby realities of its passage, implementation, and results. The ACA was sold with messianic visions and utopianism. Nancy Pelosi promised Obamacare would free us from work – we could all quit our jobs and take up the violin. But these were just tactics, deliberate strategies to neuter opposition to the bill. In this series, the Truth Squad exposes the methods used to pass Obamacare (the lies, the deceit, the orgy of lobbying). We also hold Obamacare’s proponents accountable for the results (e.g., the botched roll-out). It was not the “stupidity of the American voter” that allowed Obamacare to pass. We had a huge game run on us by masters of deceit who should never be trusted with public policy again.

The page references are from the 2015 book America’s Bitter Pill by Steven Brill.

Part 1 – Special Interests
Part 2 – Deceit
Part 3 – Botched Rollout
Part 4 – Other Perversities

Other Perversities

  • Dirty Tricks – Obamacare was intentionally cast as a tax and finance bill to allow use of the budget reconciliation process (which only needed 51 votes in the Senate instead of the usual 60) and avoid a possible Republican filibuster. (pp. 81,190)
  • Hiding the Ball – Sen. Schumer advocated for keeping Obamacare penalties low and not having them kick in until after the 2014 midterm elections to minimize political fallout. (p. 168)  Similarly, implementation of the law was put off  until after the 2012 presidential election to help Obama’s chances of reelection.
  • Rammed Through – Senator Baucus initially wanted bipartisan support but the law was passed without a single Republican vote. (p. 75)
  • Hiding the Ball (II)– The practice of hiding the ball persisted after Obamacare was passed:
    • President Obama and others kept saying that Obamacare was bringing down prices when in reality it was the subsidies making everything look cheaper.
    • “The political team was still gun-shy about touting how much of a welfare program Obamacare actually was.” (p. 309)
  • Coercion - People seeking insurance are slammed into mandatory Medicaid if they have variable income which falls below Obamacare insurance thresholds. (p.375)
  • Clawbacks – People receiving subsidies are on the hook if they underestimate their income. The IRS can take years to send notification of a problem. Now the tail wags the dog: advisers tell people to take time off and not to work overtime so as not to incur Obamacare’s subsidy clawbacks.  (p. 397)
  • Ordinary People Can’t Function Without the Assistance of the Federal Government – It is extremely difficult to divine the details of Healthcare.gov plans without the aid of a federally-approved assistant.  (p. 377)
  • Chase-Your-Tail Regulation – Insurers got busy dreaming up ways to game Obamacare’s Medical Loss Ratio (MLR) rules, one way being to reclassify administrative expenses to ‘care’ in order to preserve profits. (p. 121)  Issue a regulation and people will look for ways around it.  Try to rein them in with a new regulation, they will find ways around that, too.
  • Waste and Abuse – In the first four years of Obamacare, only 37 percent of the Comparative Effectiveness Board’s research funding was actually used to compare treatments. The rest disappeared into ‘education’ and ‘communication’. (p. 392)
  • Rube Goldberg Contraption – Obamacare is so convoluted that CBO has given up trying to score the monetary impact of rule changes.  (p. 395)
  • Lawlessness – The Obama administration unilaterally delayed the employer mandate a year.  The mandate entailed complex employer and insurer reporting requirements and the Treasury Department had failed to complete its instructions in a timely fashion. Companies were tied into knots trying to figure out how to comply. The postponement would cost the government $12 billion, according to CBO. (p. 290-92)  The employer mandate was delayed a second time, from 2014 to after 2015. (p. 394)  [Note – this was just one of the Obama administration’s three dozen lawless unilateral changes to Obamacare.)
  • Lack of AccountabilityIn an interview with the author, President Obama refused to comment on the narrow networks problem endemic in Obamacare exchange plans. (p. 462)
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Anatomy of a Disaster (Part 3 – Botched Rollout)

One cannot help but be struck by the monstrous incongruities between the hopes Obamacare engendered and the grubby realities of its passage, implementation, and results. The ACA was sold with messianic visions and utopianism. Nancy Pelosi promised Obamacare would free us from work – we could all quit our jobs and take up the violin. But these were just tactics, deliberate strategies to neuter opposition to the bill. In this series, the Truth Squad exposes the methods used to pass Obamacare (the lies, the deceit, the orgy of lobbying). We also hold Obamacare’s proponents accountable for the results (e.g., the botched roll-out). It was not the “stupidity of the American voter” that allowed Obamacare to pass. We had a huge game run on us by masters of deceit who should never be trusted with public policy again.

The page references are from the 2015 book America’s Bitter Pill by Steven Brill.

Part 1 – Special Interests
Part 2 – Deceit
Part 3 – Botched Rollout
Part 4 – Other Perversities

Botched Roll-Out by the Keystone Cops of Healthcare

  • There was total confusion about who was in charge of Healthcare.gov.  Nobody was. Seven different people were thought to be in charge, and there were four or five different ‘command centers’. (p. 289)
    • In an interview with the author, President Obama admitted there should have been a single person, a Marketplace CEO, in charge. He went on to make more empty promises about how he will improve digital services across the government in the future (p. 470). (A CEO was appointed for Healthcare.gov’s second year, proving the complete negligence that took place the first year
  • The problem of income verification and ensuring correct subsidy amounts was flagged before the law was passed. (p. 181)  In April 2010, the head of the IRS said the verification process would be a “nightmare”. (p. 202) The employer and insurer reporting requirements (name, SSN, hours worked, insurance coverage, etc.) were so complicated that they were pushed back a year. (pp. 290-291)  (This mess still isn’t straightened out; a stunningly high percentage of affected taxpayers had to repay part of their subsidies after the first year because of the convoluted way the subsidies were calculated.)
  • There still had been no independent software testing and no consumer testing of the website three months before the launch (p. 292) (More on the consequences of the failure to test – p. 334)
  • There was serious understaffing on the build team. (p. 293)
  • Upon receiving a memo outlining a host of problems with the website construction effort, a senior official worried only about his own future. He asked for help refuting the memo, not solving the problems it highlighted (p. 293)
  • The main contractor CGI absolved itself from responsibility for delays, citing budget constraints and changing specifications. (p. 294)
  • A consultant’s report identified numerous ‘high risks’, ‘defects’, and technical shortcomings before launch, but the report was not shared among project leaders. (p. 296)
  • Plans for educating the public remained vague.  The government was very late in getting out RFPs for navigators. (pp. 276-77)  HHS Secretary Sebelius resorted to soliciting private donations to shore up Enroll America. (p. 278)
  • The official White House “Enrollment Countdown” (project completion calendar), played up in the press as detailing what needed to be done every day in the weeks before launch, was BLANK.  (p. 300)
  • President Obama held regular meetings about the Healthcare.gov rollout with staff but the meetings were political in nature, all about how to boost enrollment. “No one in the room had any idea how or if the technology worked.” (p.301)  The President stammered later about creating a culture where staff is not afraid to admit there is a problem, but he obviously failed at building such a culture just as badly as he failed at building a website.
  • HHS Secretary Sebelius was offering assurances that everything was on track in the days before the calamitous rollout. (p. 308)
  • T-minus one day: White House Chief of Staff McDonough, “We’re gonna knock your socks off tomorrow.” (p. 322)  #clueless
  • Building Healthcare.gov cost $840 million as of March 2014, triple the original budget. (p. 405)  Despite the stratospheric cost, Sen. Max Baucus famously warned the rollout would be a “train wreck”.
  • And a train wreck it was.  After the rollout, people were getting canceled, making them liable for the ACA individual mandate fine even though they couldn’t buy new policies because the website was broken. “This is what happens when you inject 159 new federal agencies, bureaucracies, and commissions between you and your healthcare.” -Rep. Kevin Brady (R-TX) (p. 368)
  • In an interview with the author, President Obama admitted he failed in launching Healthcare.gov.  (p. 464)  This was his most important domestic policy initiative, but he couldn’t be bothered to do it right. (p. 314)
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Risk Corridors of Failure

Comment: Darn those Grubers are smart, aren’t they?   After telling insurance comrades “I’ll gladly pay you Tuesday for a subsidized socialized medicine hamburger today,” suddenly it’s almost Tuesday.  (Pro-tip: did you notice this news came out on a Tuesday?)

“An important tool meant to limit the financial risk of Obamacare insurers is expected to be grossly underfunded and “may make the U.S. insurance market less stable, not more,” a new analysis warns.”

“The amount of money that profitable insurers expect to pay into the program was less than an estimated 10 percent what is expected to be paid out to unprofitable insurers, the Standard & Poor’s Ratings Services report found.”

Obamacare’s ‘risk’ program may shake up insurance prices
Dan Mangan, Tuesday, 5 May 2015

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Anatomy of a Disaster (Part 2 – Deceit)

One cannot help but be struck by the monstrous incongruities between the hopes Obamacare engendered and the grubby realities of its passage, implementation, and results. The ACA was sold with messianic visions and utopianism. Nancy Pelosi promised Obamacare would free us from work – we could all quit our jobs and take up the violin. But these were just tactics, deliberate strategies to neuter opposition to the bill. In this series, the Truth Squad exposes the methods used to pass Obamacare (the lies, the deceit, the orgy of lobbying). We also hold Obamacare’s proponents accountable for the results (e.g., the botched roll-out). It was not the “stupidity of the American voter” that allowed Obamacare to pass. We had a huge game run on us by masters of deceit who should never be trusted with public policy again.

The page references are from the 2015 book America’s Bitter Pill by Steven Brill.

Part 1 – Special Interests
Part 2 – Deceit
Part 3 – Botched Rollout
Part 4 – Other Perversities

Deceit

  • Can’t Keep Your Plan (How Do You Lie to Millions of People?)- The regulations regarding the grandfathering were published in the Federal Register in June  2010, shortly after Obamacare was signed into law. The insurance companies noticed immediately, but it didn’t hit the general public until three years later.  It caused a firestorm when NBC reported the President was wrong when he promised the public 19 times ‘you can keep your plan.’  According to author Brill, the President admitted he should have known at the time he was making these promises that tight grandfathering rules had already been written that would cause millions of people to lose their health insurance policies. (pp. 365-368)  The hard line on grandfathering was the brainchild of Jeanne Lambrew in the HHS Office of Health Reform who hated insurance companies, especially ones that sold low-cost insurance (p. 146).
    • Comment: Here’s what’s wrong with Brill’s version of events, which casts President Obama as merely negligent, not a liar: If President Obama was so outraged at his underlings’ doings, he easily could have reversed their decision, but he didn’t.  He let the grandfathering rules stand, causing millions to lose their plans.  Either he’s a liar or content to have others make a liar out of him, take your pick.  The bottom line is he deceived the American people when he told them 19 times they could keep their plans.
  • Similarly, the President knew that his promise to the American people that ‘if you like your doctor, you can keep your doctor’ was a lie as early as 2009, before the bill was passed.  A memo described how money would be saved through ‘narrow networks’, i.e., limiting the choices of doctors and hospitals people would have under Obamacare exchange plans.  (p. 115)  Untold numbers of people lost their doctor because of the deliberate decision to embrace narrow networks.
  • Just prior to rollout, an Obama official touted the notion that premiums for the first year would be lower than CBO had estimated.  He failed to mention that narrow networks made this possible. A reporter tried to ask about it, but the official deflected the question. (p. 317)
  • Proponents of the ‘public option’ wanted the game to be rigged to drive private insurers out of business with single-payer being the ultimate goal.  (pp. 87-88)
  • The AMA was promised a permanent ‘doc fix’ for Medicare reimbursements, but the provision was left out of the bill to make the CBO scoring work. (p. 401) [Note – If it had been included at the time Obamacare was being considered, it would have added hundreds of billions of dollars to CBO’s scoring and made passage of the bill politically impossible.  Hiding the ball solved that problem.]
  • Costs
    • No serious argument can be made that Obamacare is about cutting costs. Lawmakers knew from the beginning that Obamacare was going to be about ‘universal’ coverage, not cost control. (p. 80)
    • Obamacare gives subsidies to pay the same exorbitant prices that were the problem in the first place. (book jacket)
    • The ‘bend the cost curve’ mantra was dazzling and started circulating early, but it was a joke from the start.  Cost-cutting measures included forcing doctors to use electronic health records (but that has already cost the government $20 billion through 2014 with no end in sight), cuts to Medicare (oxygen and wheelchairs), and hospital readmission penalties (which would later prove to be problematic).  The supposed savings were to total $300 billion over 10 years, a figure completely overwhelmed by Obamacare’s subsidies and Medicaid expansion.  (p. 84) Obamacare bent the cost curve all right – UP, not down.
    • Despite the continuing charade about costs, President Obama made public pronouncements about how a failure to rein in costs would bankrupt the government: “If people think we’re simply gonna take everyone who’s not insured and load them up into a system … the federal government will be bankrupt.  State governments will be bankrupt.  I’m talking to you liberal bleeding hearts out there. Don’t think we can solve this problem without tackling costs.”(p. 89)
    • President Obama changed his tune later. Despite signing a law that effectively loaded uninsured people on to the system without seriously tackling costs, the President claimed in an interview with the author that the ACA will help lower the deficit. (p. 467)
  • In an interview with the author, President Obama repeated the lie that Medicaid expansion helps “those who need it most” when, in fact, it cynically pushes government dependency into the middle class. (p. 467) (n.b. – Brill makes the same specious claim Medicaid expansion is about the poor on p. 281).  The President’s statement would have been true if Max Baucus had stuck with expanding the program to the federal poverty line, but the law as passed pushed eligibility to 138 percent of FPL.  (p. 75)
  • In an interview with the author, President Obama expressed concern that Medicare should be there for seniors as promised, but he’s the one who chopped $716 billion out of Medicare to fund Obamacare. (p. 469)
  • Officials testified before Congress that all website problems would be fixed before the launch. (p. 295)  One later acknowledged that his testimony was not truthful (p. 296)
  • One day after launch, even though officials would lie about it continuously thereafter, they knew only six people had enrolled. (p. 335)
  • Fitting the pattern of lying about enrollment numbers, an administration official said during the early days of enrollment that they had planned for 50,000-60,000 concurrent users but were experiencing problems from there being 250,000 on healthcare.gov at one time.  Actually, they had only planned for 10,000 and didn’t even meet that target.  (p. 349)
  • The small business (SHOP) exchanges had to be jettisoned from the initial launch because they not ready, despite Sebelius’ lies to Congress they would be up and running “in every market in the country.” (pp. 296-297)

 

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Hawaii Exchange Pearl-Dives; ‘Health Connector’ Disconnects

(For you non-hipsters, “pearl-diving” is the rookie mistake of catching your surfboard’s nose in the water while catching a wave, sending its rider flying, then plunging toward the bottom instead of toward the beach. It’s the surfing equivalent of being thrown from your horse.)

Comment: Hey, that was a great use of $204 million taxpayer dollars, whadinnit?

“ ”Staff reductions will commence immediately, with the executive director ( Jeff Kissel) exiting once the bulk of operational activities end,” the report said. “If the state cannot facilitate an orderly transition, the Connector’s operations will abruptly end, as the Connector does not have the resources to continue operations.”"

“The state was notified in March that Hawaii was out of compliance with the Affordable Care Act, also known as Obamacare, because the Connector wasn’t financially sustainable at the start of this year and wasn’t integrated with the Medicaid system, which determines eligibility for subsidies and tax credits obtained through the exchange. The federal government subsequently restricted grant money to support the Connector and moved to take over its IT functions to allow residents to enroll in coverage through the federal marketplace, healthcare.gov.”

Insurance exchange sets deadlines in preparation of ending services
May 10, 2015,  Tribune Content Agency

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Anatomy of a Disaster (Part 1 – Special Interests)

One cannot help but be struck by the monstrous incongruities between the hopes Obamacare engendered and the grubby realities of its passage, implementation, and results. The ACA was sold with messianic visions and utopianism. Nancy Pelosi promised Obamacare would free us from work – we could all quit our jobs and take up the violin. But these were just tactics, deliberate strategies to neuter opposition to the bill. In this series, the Truth Squad exposes the methods used to pass Obamacare (the lies, the deceit, the orgy of lobbying). We also hold Obamacare’s proponents accountable for the results (e.g., the botched roll-out). It was not the “stupidity of the American voter” that allowed Obamacare to pass. We had a huge game run on us by masters of deceit who should never be trusted with public policy again.

The page references are from the 2015 book America’s Bitter Pill by Steven Brill.

Part 1 – Special Interests
Part 2 – Deceit
Part 3 – Botched Rollout
Part 4 – Other Perversities

Special Interests

  • Pharmaceutical companies were estimated to get $200 billion in revenue in the first 10 years of reform. Baucus asked for $130 billion back through reduced drug prices for Medicare and Medicaid, plus a new revenue tax.  The game was ‘agree to this or we’ll stick it to you by, among other things, removing the prohibitions on Medicare negotiating prices with the drug companies and consumers buying drugs from Canada.’ “Nothing concentrates the mind like a hanging,” one lobbyist said. The deal was finalized at $70 billion from the industry group PhRMA in the form of — get this! –- secret contributions to political action committees to run ads in favor of senators who were for reform and against senators who were not. The PACs selected would not have to reveal their donors. Other interests, such as unions, put in token amounts so the PACs could be misrepresented as broad coalitions. The plan was to publicly deny any PhRMA connection. The political consulting firm involved was co-owned by David Axelrod before he became a senior Obama adviser in the White House. And this is how ‘the people’s business’ got done. During his campaign, Obama had promised to televise the healthcare negotiations on C-SPAN. (pp. 97-101)
  • Obamacare is the product of D.C. insiders negotiating secret deals. (p. 94)
  • Healthcare lobbyists visited Senate Finance Committee staff to get government-guaranteed customers and to protect their bottom lines from more radical reforms. The game at the time was to get the industry to finance reform so taxation would not be necessary. (The law eventually contained dozens of taxes, instead.) (p. 96)
  • Tort reform was intentionally left out of the bill so as not to anger the trial lawyers’ lobby, “the most reliable source of big-money support for … Senate Democrats.” (p. 158)
  • The hospital lobby fought to make readmission penalties extremely low, i.e., negligible as a percent of total revenue. (p. 416)
  • The closed-door deals stripped away any hope of ‘bending the cost curve down’, but proponents continued to misrepresent the bill as if it would. (p. 416)

 

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Single-payer Means Rationing, Idiotic Price Controls, Death by Waiting

“…There have been at least five strikes called against single payer (SP)…”

Strike #1: Italy’s price controls

“…Drugs that used to cost people $300/month were suddenly and artificially priced at $5-10/month.”

“…As a result of government price controls, Italy now must buy its pharmaceuticals from elsewhere, pay what is charged, and then subsidize their patient population for the difference between their artificially low consumer price and the true, market-based cost. This may seem affordable to the individual, but that money must come from somewhere, and eventually “somewhere” means the Italian people…”

Strike #2: Avoidable deaths in Canada

“…The budget — not patients’ medical needs — drives the availability of medical care in Canada…”

Strike #3: Medical rationing at the NHS

“…Great Britain has a single-payer system, called the National Health Service (NHS)… the NHS rations medical care by denying authorization for care…”

“Great Britain’s single payer system employs death-by-budget.”

Strike #4: VA system in the U.S.

“…Washington controls both supply and demand.”

“The result is too few care providers to serve our veterans,… not enough prosthetic limbs or complex drug therapies; and too few burn beds as well as operating rooms.”

“…It does not fix the root cause, which is the single-payer approach…”

Strike #5: Vermont’s single payer

“…In the 2012 gubernatorial election there, the major issue was single-payer healthcare . Peter Shumlin, the Democrat candidate, vowed to “make it happen.” …”

“On December 17, 2014, Governor Shumlin announced that he was cancelling Green Mountain Healthcare. It was simply too expensive and would have imposed crushing new taxes on the citizens of Vermont…”

Next Strike: Medical rationing coming soon to the U.S.

“…The next pitch will come from ACA’s Independent Payment Advisory Board (IPAB)…IPAB was based on England’s NICE. We know that NICE is the medical rationing arm of the NHS…”

“In single payer systems, the budget wins every time over the welfare of patients.”

“…Single payer is a proven failure…”

“…It [Vermont] tried single payer and found that it doesn’t work…”

“It is crystal clear that single-payer healthcare systems provide neither affordable nor timely health care to the people they serve. Single payer is out!”

Five Strikes Against Single-payer Healthcare

Dr. Deane Waldman MD

http://www.americanthinker.com/articles/2014/12/five_strikes_against_singlepayer_healthcare.html

*****

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Top Tweets – Smoke & Mirrors

EACH ONE A HAMMER BLOW FOR LIBERTY
Follow us on Twitter

They told us ER visits would go down, pre-ACA plans were junk, ACO’s and wellness would save money, and it all made economic sense.  Not only were they wrong, they were spectacularly wrong about lots of things.

‘Grand theory’ #ACA would cut ER visits not panning out; visits up significantly http://www.wsj.com/articles/u-s-emergency-room-visits-keep-climbing-1430712061?mod=rss_Health

Risk corridor shortfall of 90% presages higher premiums, threatens insurer viability
http://www.chicagobusiness.com/article/20150501/NEWS02/150509973/obamacare-risk-fund-may-pay-just-10-of-insurer-claims-s-p-says

#Obamacare’s junk plans feature non-access and narrow networks
http://thehill.com/policy/healthcare/241155-the-gops-new-case-against-obamacare

State exchanges may unlawfully be using fed funds for operations (postage and bank fees in Washington State)
http://thehill.com/policy/healthcare/240997-senators-press-for-better-oversight-of-state-obamacare-spending

ACO ‘savings’ a mystery, might not be replicable, may have emanated from refusing entry to hospital
http://www.modernhealthcare.com/article/20150507/NEWS/150509934

WellCare’s profitability hinges on Medicaid contracts (investors, beware subsidy risk)
http://www.modernhealthcare.com/article/20150506/NEWS/150509932

Medicaid expansion waivers are favors from Washington and are easily reversed
https://www.columbiamissourian.com/a/188530/guest-commentary-beware-medicaid-expansion-even-if-it-is-billed-as-reform/

Medicaid wellness incentives mostly a flop so far
http://kaiserhealthnews.org/news/paying-medicaid-enrollees-to-get-checkups-quit-smoking-and-lose-weight-will-it-pay-off/

Focus shifts to problems #ACA created: specialty drug availability, out-of-network charges, skinny networks, etc.
http://blogs.wsj.com/washwire/2015/05/04/americans-health-priorities-diverge-from-washingtons-focus-on-obamacare/

Threat to yank hospital funding in states that refuse Medicaid expansion shows O-admin doesn’t care about the needy
http://newsok.com/obama-tactics-reveal-medicaid-expansion-danger/article/5415492

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